Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,818.38 / $6,165.95	Facility		$676.08	$2,818.38	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	50	$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $2,884.03	Professional		$489.78	$812.83	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,187.76	Professional		$1,122.02	$1,445.44	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,122.02 / $2,137.96	Professional		$489.78	$1,122.02	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $8,317.64	Facility		$1,023.29	$1,862.09	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $5,011.87	Professional		$794.33	$1,318.26	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,041.74	Professional		$1,096.48	$1,348.96	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,995.26	Professional		$954.99	$1,348.96	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,445.44 / $1,995.26	Professional		$5.01	$1,445.44	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,737.80	Professional		$549.54	$954.99	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,659.59	Professional		$954.99	$1,122.02	$1,659.59